Gloria Dunnder Leacock, MD

NPI #1619040607 in Woodside, New York

Provider Information

NPI Number: 1619040607
Entity Type: Individual
Name: Gloria Dunnder Leacock, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 16, 2006
Last Updated: Jun 24, 2016

Practice Location

Address: 3096 51ST ST
City: Woodside
State: New York
ZIP Code: 11377-1457
Phone: (718) 204-1469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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